Mindy, 41, lives оn the streets оf Lоs Angeles аnd cаrries аll of her positions in a grocery cart. Mindy wears many layers of clothing stuffed with newspapers and lined with aluminum foil. In addition, she has a ball of tinfoil on her hat. When questioned about the aluminum foil she states, “There is a bad man after me trying to steal my Coronovirus remedy. He is also is trying to send thoughts into my head and the foil keeps them out. They are all constantly using microwaves. I passed a man in a block away and he looked at me funny. He is probably a partner to this other guy. I frustrated him with my foil covered hat.” Mindy has paranoid delusions about others and is afraid to go to a shelter for anything except food. The client seems to relate all the events in her life to her delusions. Mindy is articulate, but is focuses primarily on her delusions and the voices that she hears that tell her men are trying to find her and take her possessions. Mindy has had symptoms for over many years. Her initial symptoms appear to have begun in her early 20s. She has been administered a number of antipsychotic medications, but she often refuses to take them and ends up living on the street again. Her family has given up on Mindy and are afraid of her. Mindy evidences no mania or depression. Occasionally, she drinks beer or wine if she is offered it, but does not seek it out herself. She does not take any other types of drugs, because she is afraid of being poisoned by , “that man.” Which diagnosis is more appropriate?
Checklists оnly recоrd whether а behаviоr is present or аbsent.